title: Fascial components of the myofascial pain syndrome.
abstract: Myofascial pain syndrome (MPS) is described as the muscle, sensory, motor, and autonomic nervous system symptoms caused by stimulation of myofascial trigger points (MTP). The participation of fascia in this syndrome has often been neglected. Several manual and physical approaches have been proposed to improve myofascial function after traumatic injuries, but the processes that induce pathological modifications of myofascial tissue after trauma remain unclear. Alterations in collagen fiber composition, in fibroblasts or in extracellular matrix composition have been postulated. We summarize here recent developments in the biology of fascia, and in particular, its associated hyaluronan (HA)-rich matrix that address the issue of MPS.
authors.affiliation: Department of Sport Medicine, University of Padova, Padua, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Stecco
authors.forename: Marco
authors.initials: M
authors.lastname: Gesi
authors.forename: Carla
authors.initials: C
authors.lastname: Stecco
authors.forename: Robert
authors.initials: R
authors.lastname: Stern
mesh_terms: D001696:Biomechanical Phenomena; D005109:Extracellular Matrix / Q000473:pathology; D005205:Fascia / Q000033:anatomy & histology / Q000293:injuries / Q000503:physiopathology*; D005260:Female; D005347:Fibroblasts / Q000473:pathology; D006801:Humans; D008297:Male; D026201:Musculoskeletal Manipulations / Q000379:methods*; D009209:Myofascial Pain Syndromes / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology*; D061028:Trigger Points / Q000033:anatomy & histology / Q000503:physiopathology*